Depression that hasn't responded to medication is exhausting — and it's more common than most people realize. About 1 in 3 people with depression don't get enough relief from the usual first steps. That's not the end of the road. Our Harlem office offers TMS, an FDA-approved treatment that uses magnetic pulses to stimulate areas of the brain involved in mood — no anesthesia, no downtime, sessions take minutes. We also offer Spravato® (esketamine), an FDA-approved nasal spray for treatment-resistant depression taken under clinical supervision in our office, and VNS therapy, an FDA-approved option for long-term treatment-resistant depression. Which treatment may be a fit for you is a conversation with a provider — and we take the time to actually have it.